Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.87 / $144.66 / $254.93	Facility		$50.87	$144.66	$254.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.87 / $56.09	Professional		$50.37	$50.87	$56.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $100.72 / $133.47	Facility		$50.36	$100.72	$133.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.81 / $50.37 / $71.52	Professional		$42.81	$50.37	$71.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $50.37 / $75.56	Facility		$50.37	$50.37	$75.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $62.96	Professional		$50.37	$50.37	$62.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $50.37 / $50.37	Facility		$50.37	$50.37	$50.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $165.77	Professional		$50.37	$50.37	$165.77
United Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $56.07 / $63.06	Professional		$50.37	$56.07	$63.06